Individual
OREN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.S.A.C
Contact information
Practice address
116 E 92ND ST BSMT, NEW YORK, NY 10128-1620
(212) 289-7166
Mailing address
116 E 92ND ST BSMT, NEW YORK, NY 10128-1620
(212) 289-7166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A100136367
—
NY
Enumeration date
10/23/2018
Last updated
08/18/2021
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